Organization
LEWIS OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D LEWIS (OWNER)
(417) 781-6644
Entity
Organization
Contact information
Practice address
825 S MAIDEN LN, JOPLIN, MO 64801-3803
(417) 781-6644
Mailing address
825 S MAIDEN LN, JOPLIN, MO 64801-3803
(417) 781-6644
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
17181321
MO
Other
Enumeration date
07/13/2005
Last updated
08/22/2020
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